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Contact Information

DANE E CLARKE, MD
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ08861-3674
 Phone: 732-442-3700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for DANE E CLARKE · (Male)

NPI # 1710988050
Status Active
Credentials MD
Entity Individual
Enumeration date 08/09/2005
Last updated 03/06/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA06703000
  • NJ Medicaid 7502907
  • NJ Other P00603903 MEDICARE RAILROAD CARRIER
  • NJ Other 26085 UHP NON-PAR#
Hospital affiliation(s)
  • BROWARD HEALTH IMPERIAL POINT - (Acute Care)
    6401 N FEDERAL HWY
    FORT LAUDERDALE, FL 33308
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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